# KANEOHE DENTAL CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kaneohe Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710639281
- **Authorized official:** DR. CEDRIC T LEWIS DMD (OWNER/SOLE MEMBER)
- **Authorized official phone:** (808) 428-3278

## Contact information

- **Practice address:** 45-950 KAMEHAMEHA HWY, KANEOHE, HI 96744-3260
- **Practice address phone:** (808) 247-4291
- **Mailing address:** 72 MOANIALA PL, HONOLULU, HI 96821-2544
- **Mailing address phone:** (808) 428-3278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/25/2022
- **Last updated:** 01/25/2022